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HomeMy WebLinkAbout52364_ECKENROTH, PAUL_20080731Y�p1 �����LICAMA / ❑DREDGE &FILL --_ _ C - GENERAL PERMIT Previous permit# iE]New ❑Modification ❑Complete Reissue ❑Partial Reissue - Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name I V ' s, r o -ram Address /1 City State ZIP L `3 -- Phone # O Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no,,' Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) L Subdivision City ZIP Phone # ( Ji A�)-Ud i '� C xo4iver Basin Adj. Wtr. Body ec- v (nat /man /unkn) Closest Maj. Wtr. Body ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ - .. . M. - • ■■ :■■■■■■■■Mo■■■ :■09 :':■ EE■■■■■■ MMM■ ■ ■■■ ■ ■■ ■■■■ EEC.. NOWN iM■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■IBC■Mw■f��■MME■■■EEME ■■■ ■■■■■■■■o•_�.���._���r.■■■■■■■■■■■■■ ■■■■■■■■■�!:�■■■■■■■�■i:�9■■■■■■■■■■MEMO EMEMEME���1■■O■■■■■■■■(i1i�11��10■�►\■E■■■■MEMO ME■■■W,�■■■■■■■■■■■■■■■■■■■■■■■��■■■■■■■ .IEEE■OM■■■MEMO■■■O■■■■M■■OM■MEM■MOM■■rE M■MEMM■■■■■■■■■■■■■■■■■■■O■■■■■■■■■■■■■■ ■MEME■E■EMMM■E■EMMEMM■M■MMEMEMEEMEMMEMME INN■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■� .... .. .. Agent or Applicant Printed Name Signature * Please read coml3l1ance st tement on back of permit yo1`/ Application Fee(s) Check # �r J Ael Permit Officer's Signature Issuing Date Expiration Date Local Planning Jurisdiction Rover File Name Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 9 19-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 Jul 29 08 08:32a N52MK 8G0-G27-2775 p.1 North Carolina Department of En Division of Coa, Michael F. Easley, Govemor James H. Gre Date ( " -'a <1 6 g Name of Property Owner Applying for Mailing Address: I certify that I have authorized (agent) i II , c behalf, for the purpose of applying for and o install or construct (activity) ; i at (my property located at) lz� z) G This certification is valid thru (date) Property Owner Signature —` 400 Commerce Avenue. Mon iment and Natural Resources Management 1, Director William G. Ross Jr., Secretary 1 I;F6 l r'y -'�Tf- - to act on my ining all CA {MBA Permits necessary to id City. North Carolina 28557 12- F�756� u Date 14 860-627-2775 p.2 " = .. .. • � r� y - 'fit... ri• - ,. � .bK•�. :��•' .. . his:?' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to i cJL �C�CrN.2�T/� 's (Name of Property Owner) property located at L 7'4"— E C S' �� , vN CT. (Lot, Block, Road, etc.) on F/� ii2,cii. �-� �ar/�'i , in /1/&:�✓ ,q/ C— , N.C. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) (Applicant Information) 6 /53't- wdC)1-� tie Mailing Address &/ ct_rz-o e%/ 060 S-Z— City/State/Zip h'10 - 2 4i - 2Cd47 Telephone Number Date 7/Z%1�fj- (Riparian Property Owner Information) Signature / /`U/✓LI� ! L L (jl/�C Print or Type Name Telephone Number 7/Z 7/d Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to V L �^ ��rN i-ZOL4� 's (Name of Property Owner) property located at 9 S �E(, J Ct 5 T LE Z�!,U C; , (Lot, Block, Road, etc.) on fft;� 1 z;� /�l3aufZ , in /1// r /3 r✓ , N.C. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) (Applicant Information) Mailing Address 060 Sy City/State/Zip k(,o- Telephone Number Date 1 40 (Riparian Property Owner Information) Signature ' Print or Type Name _ -s2 - �, )� - y 73 � Telephone Number Z C Date JEW, 5ri 0 ®II STATE EMPLOYEES' CREDIT UNION MONEY ORDER NEW BERN HIGHWAY 70 EAST 9074 REMITTER[vk' � R PAY TO ORDER OF r 3 f — �'� l % 66-7704/2531 neTF ` Lr,l�— s -�avo- 00 STATE &,,!PLvYEES' DOLLARS VOID AFTER 180 DAYS State Em I vees' Credit Union® A HORIZED SIGNATURE New Bern, North Carolina wp 15 0 kT L., -p Lf C-- IIs00907tiis II: 2S31770491:013601,301038ul